scholarly journals Spatial Optimization of Residential Care Facility Configuration Based on the Integration of Modified Immune Algorithm and GIS: A Case Study of Jing’an District in Shanghai, China

2020 ◽  
Vol 17 (21) ◽  
pp. 8090 ◽  
Author(s):  
Min Cheng ◽  
Xiao Cui
Keyword(s):  
Residential Care ◽  
Care Facility ◽  
Reference Value ◽  
Integrated Approach ◽  
The Elderly ◽  
Spatial Optimization ◽  
Immune Algorithm ◽  
Residential Care Facility ◽  
The Government

As the population is aging rapidly, the irrationality of residential care facility (RCF) configuration has impacted the efficiency and quality of the aged care services so significantly that the optimization of RCF configuration is urgently required. A multi-objective spatial optimization model for the RCF configuration is developed by considering the demands of three stakeholders, including the government, the elderly, and the investor. A modified immune algorithm (MIA) is implemented to find the optimal solutions, and the geographic information system (GIS) is used to extract information on spatial relationships and visually display optimization results. Jing’an District, part of Shanghai, China, is analyzed as a case study to demonstrate the advantages of this integrated approach. The configuration rationality of existing residential care facilities (RCFs) is analyzed, and a detailed recommendation for optimization is proposed. The results indicate that the number of existing RCFs is deficient; the locations of some RCFs are unreasonable, and there is a large gap between the service supply of existing RCFs and the demands of the elderly. To fully meet the care demands of the elderly, 6 new facilities containing 1193 beds are needed to be added. In comparison with the optimization results of other algorithms, MIA is superior in terms of the calculation accuracy and convergence rate. Based on the integration of MIA and GIS, the quantity, locations, and scale of RCFs can be optimized simultaneously, effectively, and comprehensively. The optimization scheme has improved the equity and efficiency of RCF configuration, increased the profits of investors, and reduced the travel costs of the elderly. The proposed method and optimization results have reference value for policy-making and planning of RCFs as well as other public service facilities.

scholarly journals A case study on easing an institutional bottleneck in aged care

2005 ◽  
Vol 29 (3) ◽  
pp. 327
Author(s):  
Anne Bergin ◽  
Sandra G Leggat ◽  
David Webb ◽  
Koh Ai Lane
Keyword(s):  
Residential Care ◽  
Public Hospital ◽  
Care Facility ◽  
Aged Care ◽  
Rehabilitation Program ◽  
Residential Care Facility ◽  
Care Integration ◽  
Hospital Patients ◽  
Improve Access

This is a case study about a cross-sector Interim Health Care Strategy (IHCS) developed by a Victorian metropolitan health service in partnership with a private residential facility and a community agency to provide a range of transitional or interim care initiatives for public hospital patients awaiting permanent residential care after completing acute or subacute treatment. The aims were to improve access to emergency and acute inpatient services, while meeting the needs of residential care clients in the metropolitan suburbs. The components included care within a residential care facility, communitybased interim care and a subsequent Extended Rehabilitation Program. This IHCS has shown how a cross-sector initiative can improve care and outcomes of patients awaiting residential care placement. The case study shows how a multifaceted strategy that built upon existing relationships with strong planning, organisational commitment and a facilitating structure was successful in improving care integration.

scholarly journals An outbreak of norovirus infection in an Italian residential-care facility for the elderly

2009 ◽  
Vol 15 (1) ◽  
pp. 97-100 ◽  
Author(s):  
M.C. Medici ◽  
A. Morelli ◽  
M.C. Arcangeletti ◽  
A. Calderaro ◽  
F. De Conto ◽  
...  
Keyword(s):  
Residential Care ◽  
Care Facility ◽  
The Elderly ◽  
Residential Care Facility

scholarly journals Individual Factors of Fall According to Time of Day in a Residential Care Facility for the Elderly

2017 ◽  
Vol 32 (1) ◽  
pp. 133-137 ◽  
Author(s):  
Sei SATO ◽  
Takehito HAYAKAWA ◽  
Hideyuki KANDA ◽  
Tomohiro KUMAGAI ◽  
Takeyasu KAKAMU ◽  
...  
Keyword(s):  
Residential Care ◽  
Care Facility ◽  
The Elderly ◽  
Time Of Day ◽  
Individual Factors ◽  
Residential Care Facility

Network Variables as Determinants of the Elderly Entering Adult Residential Care Facilities

1989 ◽  
Vol 9 (2) ◽  
pp. 149-163 ◽  
Author(s):  
Mary Bear
Keyword(s):  
Residential Care ◽  
Care Facility ◽  
The Elderly ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Differential Involvement ◽  
Labelling Theory ◽  
Using Data

ABSTRACTThis research extends the study of social network analysis and labelling theory into the context of adult residential care facilities (ARCFs). Network density, reciprocity, and intensity are hypothesized to explain who labels the frail elderly ‘out of place’ in their homes and refers them to an adult residential care facility. Using data from interviews with 81 new, elderly ARCF residents and 75 of their closest others, logistic regression analyses indicate that network intensity is related to the differential involvement of professionals and informal network members in the ARCF entry process. Findings suggest further research on the networks of the elderly's relatives may explain the role of density in ARCF labelling and referral. Practice implications incorporating a network strategy are addressed.

Blessing’s (Life) Story: An Adolescent in Residential Care Living with HIV

2019 ◽  
Vol 31 (2) ◽  
Author(s):  
Jenita Chiba ◽  
Jeanette Schmid
Keyword(s):  
Identity Formation ◽  
Residential Care ◽  
Antiretroviral Treatment ◽  
Service Providers ◽  
Life Story ◽  
Care Facility ◽  
Hiv Positive ◽  
Residential Care Facility ◽  
Living With Hiv ◽  
Specific Construction

The lifespan of perinatally HIV-infected children in South Africa has increased owing to the availability of antiretroviral treatment, allowing growth into adolescence and beyond. There is limited knowledge of the lived realities of adolescents with HIV. This paper, using life story methodology and based on Blessing’s narrative, provides an intersectional, complex view of the experience of one such teenager who is perinatally HIV-positive, was abandoned by his family and is living in a residential care facility. His story powerfully illuminates the specific construction of adolescence in this context, focusing on identity formation and the need for connection. The narrative also points to service providers’ practice when engaged with such youths.

Geriatrische revalidatiezorg na triage op de Spoedeisende Hulp: Patiëntkarakteristieken en revalidatie-uitkomsten

2019 ◽  
Keyword(s):  
Emergency Department ◽  
Residential Care ◽  
Functional Decline ◽  
Care Facility ◽  
Geriatric Rehabilitation ◽  
Residential Care Facility ◽  
Successful Group ◽  
Geriatrische Revalidatiezorg ◽  
One Year ◽  
Single Contact

In the Netherlands geriatric rehabilitation is possible (among others) for patients who are selected by a geriatrician at the emergency department of a hospital. The aim of this study was to investigate the rehabilitation trajectory of patients who were selected for geriatric rehabilitation at the emergency department after a single contact with the geriatrician and to identify patient factors related to rehabilitation outcome. Successful rehabilitation was defined as discharge to home or a residential care facility after a maximum of 6 months. All patients who in 2016 were selected for geriatric rehabilitation were included. Data were collected retrospectively from electronic patient files. 74 patients were included (mean age 84.7 years). 84% were successfully discharged home or to a residential care facility within six months. The presentation with a fall and the absence of a partner at home was higher in the unsuccessful group. In the successful group more patients lived independent and without professional help prior to rehabilitation. Noteworthy is that the analysed patient group is a frail group, considering the high one-year mortality (21,6%) and overall functional decline despite geriatric rehabilitation.

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